Hand & wrist · De Quervain's — thumb-side wrist pain
How to use this sheet. Wear the thumb splint for tasks that hurt, if we have given you one. Cut down the movements that strain the thumb side of the wrist: hard pinching, wringing out clothes, long spells of texting with the thumb, and lifting a baby under the arms with the thumbs spread (scoop the baby up with the palms and forearms instead). Start with exercises 1 to 4. Add exercises 5 and 6 only when the pain has settled, and build them up slowly. Mild discomfort that settles soon after is fine; if the wrist is worse the next day, go back a step.
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Thumb tuck stretch
Tuck the thumb into the palm and close the fingers over it. Then gently bend the wrist towards the little finger, only until you feel a mild stretch. Leave this one out while the wrist is very painful.
Hold 15 seconds
5 times
Should feel: A stretch on the thumb side of the wristShould not feel: Sharp pain on the thumb side of the wrist
Thumb out and back
Rest the hand on the table, palm down. Slowly slide the thumb out to the side, away from the index finger, as far as is comfortable, then bring it back.
10 times
2 times a day
Should feel: Easy movement at the base of the thumbShould not feel: Sharp pain on the thumb side of the wrist
Thumb circles
Move the thumb in slow circles.
10 times
2 times a day
Should feel: Free movementShould not feel: Catching
Wrist side to side
Move the wrist gently side to side.
10 times
2 times a day
Should feel: Free movementShould not feel: Pain on the thumb side
Thumb press out (strength, without moving)
Start only when the pain has settled. Rest the hand on the table on its little-finger side, thumb on top. Put two fingers of the other hand on the thumb and press the thumb up and out against them without letting it move. Press only as hard as is comfortable.
Hold up to 30 seconds
3 times
Daily
Should feel: The muscles at the base of the thumb workingShould not feel: Pain that is still there the next morning
Rubber band thumb opening
Add this when exercise 5 is easy. Put a rubber band round the thumb and the fingers. Slowly move the thumb up and out against the band, then let it come back slowly.
8 times
3 sets
Every other day
Should feel: The thumb muscles tiringShould not feel: Pain on the thumb side of the wrist that lasts
Stop and telephone us if
The pain is getting worse, not better, after two weeks
You get new numbness, tingling or weakness
The joint swells up or locks
You feel unwell or feverish
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